DR. KRISTIN W HOUSEKNECHT (NPI# 1538489869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538489869 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN W HOUSEKNECHT |
| Credential | M.D. |
| Practice Address |
1225 E Coolspring Ave Michigan City IN 46360-6312 |
| Mailing Address |
323 E Wacker Dr #118 Chicago IL 60601-5282 |
| Practice Telephone | 2198732919 |
| Practice Fax Number | 2198732909 |
| Mailing Telephone | 8134952785 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2017-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
125.087911 | IL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 01077086A | IN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | ME108909 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TRN14997 | FL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000001052783 | 01 |
| IN | 201398420 | 05 |
| Street Address |
1225 E COOLSPRING AVE |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864497 | Stacey Colleen Leva | Family Medicine | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2005-07-13 |
| 1073125076 | Lakeshore Eye Consultants, LLC | Ophthalmology | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2020-08-20 |
| 1518423250 | Molly Majot | Dietitian, Registered | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2019-02-19 |
| 1427556232 | Nikole Pennington | Nurse Practitioner | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2018-01-26 |
| 1174048813 | Anna R Salyer | Occupational Therapist | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2017-08-03 |
| 1538608765 | Emily Walters | Dietitian, Registered | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2017-02-21 |
| 1184172140 | Rita Anne Halac | Nurse Practitioner | 1225 E Coolspring Ave, 2c, Michigan City, IN 46360-6312 | 2016-09-19 |
| 1609233212 | Franciscan Physician Network | Clinic/Center | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2016-01-27 |
| 1528453875 | Jennifer O'dor | Nurse Practitioner | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2015-04-03 |
| 1992101422 | Lauren Ashleigh Geers | Occupational Therapist | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2014-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083235188 | Bonzer Medical, LLC | General Practice | 4423 S County Road 125 E, Greencastle, IN 46135-9237 | 2020-04-29 |
| 1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
Please comment or provide details below to improve the information on DR. KRISTIN W HOUSEKNECHT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.